JONATHAN WALLACE, CRNA
Anesthesiology
Active
Individual
NPI: 1609821156
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | No | 1101813 (AL) |
| Anesthesiology | 207L00000X | Yes | 1101813 (AL) |
Frequently Asked Questions
NPI 1609821156 is the National Provider Identifier for JONATHAN WALLACE, CRNA, a Anesthesiology provider located in Mobile, AL. This NPI was enumerated on May 23, 2006.
JONATHAN WALLACE, CRNA practices at 5 MOBILE INFIRMARY CIR, Mobile, AL 36607.
Quick Facts
- NPI
- 1609821156
- Type
- Individual
- Enumerated
- May 23, 2006
- Last Updated
- Sep 11, 2025
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